Kathleen M Bottum in Springfield - Internal Medicine
Kathleen M Bottum - NPI 1124003025
Kathleen M Bottum is a Internal Medicine in Springfield, Illinois. Kathleen M Bottum practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Kathleen M Bottum is 1124003025. The last update date is 2020-10-20.
Kathleen M Bottum's current location address is Po Box 19642, Springfield, Illinois. You can contact this provider via phone number 2175458000 and fax number 2175458163. The mailing address for Kathleen M Bottum is Po Box 19642, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathleen M Bottum |
|---|---|
| Address | Po Box 19642, Springfield, Illinois |
| Phone Number | 2175458000 |
| Fax Number | 2175458163 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1124003025 |
|---|---|
| Provider Enumeration Date | 2005-12-13 |
| Last Updated Date | 2020-10-20 |
Provider Mailing Address Detail
| Address | Po Box 19642 |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627949642 |
| Phone Number | 2175458000 |
| Fax Number | 2175458163 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 036-106435 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36106435 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kathleen M Bottum by the Centers for Medicare & Medicaid Services?
The Kathleen M Bottum has been assigned the NPI (National Provider Identifier) 1124003025. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Kathleen M Bottum?
The Kathleen M Bottum is physically situated at Po Box 19642, in the city of Springfield, state of IL, with the postal code 627949642.
What is Kathleen M Bottum's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kathleen M Bottum is Internal Medicine, and the taxonomy classification code that categorizes this area of expertise is 207R00000X.
On what date did Kathleen M Bottum receive its 1124003025 assignment from the Centers for Medicare & Medicaid Services?
The Kathleen M Bottum was assigned its 1124003025 on 2005-12-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Kathleen M Bottum, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kathleen M Bottum, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-10-20.
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